Price Comparison Report
Tonsillectomy and Adenoidectomy
Alexandria, VA · 10 facilities · CPT 42820 · September 06, 2026
Summary
10 facilities within 25 miles of Alexandria publish prices for Tonsillectomy and Adenoidectomy. Cash prices range from $2,658 to $6,886 — a 2.6x difference for an identical procedure. The Virginia average is $8,895.
UVA Health Haymarket Medical Center
Haymarket, VA · UVA Health · 5.9 mi
Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 76%. Cash price of $2,658 is below the statewide average of $8,895.
All facilities ranked by price
Complete facility data
| # | Facility | Cash Price | Gross Charge | Markup | CMS Stars | Patient Rating | Ownership |
|---|---|---|---|---|---|---|---|
| 1 | UVA Health Haymarket Medical Center UVA Health Haymarket, VA · 5.9 mi | $2,658 | $5,317 | 2.0x | 4/5 | 76.0% | Nonprofit |
| 2 | UVA Health Prince William Medical Center UVA Health Manassas, VA · 5.9 mi | $2,658 | $5,317 | 2.0x | 4/5 | 64.0% | Nonprofit |
| 3 | Fauquier Hospital Warrenton, VA · 5.9 mi | $6,886 | $17,214 | 2.5x | 3/5 | 62.0% | For-profit |
| 4 | Inova Fair Oaks Hospital Inova Health System Fairfax, VA · 14.3 mi | — | — | — | 5/5 | 79.0% | Nonprofit |
| 5 | Inova Loudoun Hospital Inova Health System Leesburg, VA · 5.9 mi | — | — | — | 5/5 | 76.0% | Nonprofit |
| 6 | Inova Alexandria Hospital Inova Health System Alexandria, VA · 0.0 mi | — | — | — | 4/5 | 70.0% | Nonprofit |
| 7 | Stonesprings Hospital Center Dulles, VA · 5.9 mi | — | — | — | 3/5 | 76.0% | For-profit |
| 8 | Inova Mount Vernon Hospital Inova Health System Alexandria, VA · 0.0 mi | — | — | — | 3/5 | 67.0% | Nonprofit |
| 9 | Reston Hospital Center HCA Virginia Reston, VA · 5.9 mi | — | — | — | 3/5 | 66.0% | Nonprofit |
| 10 | Dominion Hospital HCA Virginia Falls Church, VA · 14.0 mi | — | — | — | — | — | For-profit |
Insurance negotiated rates by facility
The rates below are what each insurer has contractually agreed to pay this hospital for Tonsillectomy and Adenoidectomy. Your actual out-of-pocket cost depends on your deductible status and copay structure.
UVA Health Haymarket Medical Center
Cash: $2,658| Insurance | Plan | Negotiated Rate | vs Cash |
|---|
22 additional plans not shown.
UVA Health Prince William Medical Center
Cash: $2,658| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| TRICARE | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $297 | -$2,362 |
| Cigna | — | $2,430 | -$228 |
| Cigna | UVAPW & UVAHM - Cigna (IFP) | $2,430 | -$228 |
| Aetna | UVAPW & UVAHM - Aetna | $2,520 | -$138 |
| UnitedHealthcare | — | $3,914 | +$1,256 |
| Cigna | UVAPW - Evernorth (Cigna BH) | $4,254 | +$1,595 |
| UnitedHealthcare | UVAPW & UVAHM - United (All Payer) | $4,349 | +$1,690 |
| Cigna | UVAPW & UVAHM - Cigna (OAP) | $4,437 | +$1,778 |
17 additional plans not shown.
Fauquier Hospital
Cash: $6,886| Insurance | Plan | Negotiated Rate | vs Cash |
|---|---|---|---|
| UnitedHealthcare | UHC All Payer | $7,268 | +$382 |
Stonesprings Hospital Center
Cash: N/A| Insurance | Plan | Negotiated Rate |
|---|---|---|
| Lifeworks | MCR | $2,550 |
| Cigna | IFP | $3,051 |
| Cigna | HMO | $4,475 |
| Cigna | PPO | $4,475 |
| Bright Health | COMM | $5,995 |
| CareFirst | HMO | $7,126 |
| CareFirst | RPN | $7,126 |
| Optima Health | HMO | $7,312 |
| Optima Health | PPO.POS | $7,312 |
| UnitedHealthcare | AllPayerAppendix | $7,357 |
| Anthem | HIX | $8,685 |
| Anthem | HPN | $8,775 |
| Anthem | HMO | $9,410 |
| Anthem | PPO | $9,410 |
Reston Hospital Center
Cash: N/A| Insurance | Plan | Negotiated Rate |
|---|---|---|
| Universal Healthcare Group | MCR | $1,995 |
| Lifeworks | MCR | $2,550 |
| Cigna | IFP | $3,051 |
| Cigna | HMO | $4,475 |
| Cigna | PPO | $4,475 |
| Bright Health | COMM | $5,995 |
| CareFirst | HMO | $7,126 |
| CareFirst | RPN | $7,126 |
| Optima Health | HMO | $7,312 |
| Optima Health | PPO.POS | $7,312 |
| UnitedHealthcare | AllPayerAppendix | $7,357 |
| Anthem | HIX | $8,671 |
| Anthem | HPN | $8,760 |
| Anthem | HMO | $9,394 |
| Anthem | PPO | $9,394 |
Dominion Hospital
Cash: N/A| Insurance | Plan | Negotiated Rate |
|---|---|---|
| Optima Health | HMO | $7,312 |
| Optima Health | PPO.POS | $7,312 |
Before you call
The data in this report is from each hospital's publicly filed prices. Here's how to use it.
Confirm the price
Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Tonsillectomy and Adenoidectomy (CPT 42820). Under federal law, they must provide this. Compare it to the published price in this report.
Ask about cash pay
If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.
Compare before you schedule
You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.
Ask about financial help
Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.
Financial assistance by facility
Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.
| Facility | Status | Charity Care Provided | How to Apply |
|---|---|---|---|
| UVA Health Haymarket Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
| UVA Health Prince William Medical Center | Nonprofit | — | Call billing, request Financial Assistance application |
| Fauquier Hospital | For-profit | — | N/A (for-profit) |
| Inova Fair Oaks Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Inova Loudoun Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Inova Alexandria Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Stonesprings Hospital Center | For-profit | — | N/A (for-profit) |
| Inova Mount Vernon Hospital | Nonprofit | — | Call billing, request Financial Assistance application |
| Reston Hospital Center | Nonprofit | — | Call billing, request Financial Assistance application |
| Dominion Hospital | For-profit | — | N/A (for-profit) |
What to do next
Data sources
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
CMS Hospital Compare, updated quarterly
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)
This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.